Inspection on 06/11/06 for Woodford Court

This inspection was carried out on 6th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodford Court 31/01/06

Woodford Court 21/09/05

Woodford Court 08/01/05

Woodford Court 22/06/04

Similar services:

Ashlong House

Spring Lane Care Home

Avenues (The) (Neave Crescent)

Barrington Lodge Nursing Home

Beacon House Nursing Home

St Mary`s Convent & Nursing Home

1-3 Frederick Gardens

The Royal Star and Garter Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Woodford Court 6-8 Snakes Lane West Woodford Green Essex IG8 0BS Lead Inspector Julie Legg Key Unannounced Inspection 6th November 2006 10:00 Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodford Court Address 6-8 Snakes Lane West Woodford Green Essex IG8 0BS 020 8502 9502 020 8504 5237 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) SCOPE Mr Paul Sowerby Care Home 12 Category(ies) of Physical disability (12) registration, with number of places Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age range 18 yrs to 50 yrs on admission with the exception of one named resident over 65 yrs. 31st January 2006 Date of last inspection Brief Description of the Service: Woodford Court is registered to accommodate 12 adults who have cerebral palsy and associated disabilities. Age on admission is 18-65 years. The home is operated by SCOPE. Woodford Court comprises two adjacent bungalows with a shared garden. The bungalows are purpose built and provide a high standard of accommodation for adults with physical disabilities. Each bungalow comprises single bedrooms with en-suite bathrooms, which include tracking from bed to bath, avoiding the need for separate lifting equipment. Each bungalow has its own kitchen, dining and communal lounge area. There is wheelchair access throughout both buildings, with self-opening doors to allow independent access. Woodford Court is situated in the London Borough of Redbridge in a residential area of the borough. It is close to shops, open spaces and transport links to central London, Ilford and Essex. The home has its own transport, but residents also have the use of a taxi card. Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a day. The inspector spoke to six of the residents about their experience of living at the home and also to three relatives. Discussion took place with the manager and four of the care staff. Staff were spoken to about care practices and their employment at the home. The inspector also observed interaction between the residents and staff, which was friendly but professional. A tour of the home took place and a number of staff and residents’ records were examined. The manager has recently returned to work after a long period of sickness. During his absence the staff continued to provide a high quality service to the residents. What the service does well: What has improved since the last inspection? Five of the previous requirements have been met. One of the ovens has been replaced. There has been an increase in staff at peak periods, early morning, evening and weekends. There is now suitable and robust management as the manager has returned to work. All records are up-to- date and accessible. All portable electrical appliances have been tested. Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2, and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their relatives have the information they need to be able to make an informed choice about moving into the home. The assessment of needs and other information and reports received from health and social care professionals means that staff have detailed information to enable them to determine whether or not they can meet the needs of the prospective residents. Prospective residents know that the home can meet their needs. EVIDENCE: Woodford Court has a Statement of Purpose and a Service User guide, which is in pictorial form. These documents give prospective residents and their relatives information regarding the home and what service the home can offer. There have been no new admissions since the last inspection. The home currently has twelve residents. The file of the most recent resident was examined and it was found to contain an assessment that had been undertaken by the manager prior to the resident’s admission to the home. The manager had also received an assessment from the funding local authority and Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 9 information from other health professionals was also obtained. The manager’s care planning system would identify the needs of the prospective resident and set out how these needs were to be met. Both the resident and their relative had been involved with the decision in them moving into the home. The resident told the inspector “ I felt welcome here, they made me feel happy”. Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Most of the residents’ identified needs are reflected in up to date care plans and risk assessments, which safeguards themselves and others. Residents make decisions about their lives with assistance as needed. EVIDENCE: Each resident has an individual care plan and the care plans for four of the residents were examined and discussed with the manager. The care plans are detailed and clear but tend to cover areas of care, such as, handling, rising bathing, retiring, toileting an and communication. There is very little information regarding personal goals, social needs and communication. The staff are very aware of the residents needs and how these needs are to be met. However, this information needs to be formalised into care plans that are informative, person centred and cover all aspects of a person’s needs as set out in Standard 2 of the National Minimum Standards for Adults (18-65). This Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 11 was a previous Requirement that has been set with a new timescale. This is Requirement 1. There was also little evidence that care plans are being reviewed on a regular basis. The home undertakes monthly and yearly summaries, those files that were examined showed that these were also not being completed regularly. This is Requirement 2. The daily records should reflect the care being given on a day-to-day basis and relate to each resident’s care plan. The records that were seen tend to relate to basic care needs such as, personal care, food and drink and mood. Also these records are not being completed regularly, there were some days were the records were not completed at all. This could put residents at risk. Daily records need to be linked to the care plan and to be more specific, demonstrating how care plans are being implemented on a day to day basis. The manager must ensure that daily records are completed at the end of each shift and relate to each resident’s care plan. This was a previous Requirement that has been set with a new timescale. This is Requirement 3. Other records seen, showed residents’ choices of meals and activities that had been undertaken. There are regular residents’ meetings that are chaired by a volunteer. The manager gives a written report and some staff attend the meeting to support the residents. Recent discussions have been around shopping trip to Harlow, the Christmas menu and going to Southend-on-Sea to see the lights. Staff were observed interacting with the resident, their relationship was easy going and friendly but in a professional manner. Staff were aware of residents that required close supervision, but this was carried in a way that was not intrusive to the resident. Residents’ rights are respected and choice is given in all aspects of daily life. Should any infringement of rights be needed for the safety of the residents, this is recorded. Risk assessments are in place and had been updated. These identify risks for the residents and indicate ways in which the risks can be reduced to enable the residents’ needs to be met as safely as possible whilst helping them to maintain their independence. Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to take part in activities within the local community that are appropriate to their age and culture. Residents have appropriate personal and family relationships. EVIDENCE: Residents’ care plans identify lifestyle choices, such as going to college, clubs, local leisure activities and visiting family and friends. The daily logs record whether these activities have taken place and who has participated. All of the residents have opportunities for personal development and a varied activity programme, which takes into account their preferences and interests. Most of the residents attend college or day centres throughout the week. One of the residents is supported to attend a day centre in Tottenham. Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 13 Links with the local community are encouraged and residents use the local health centre, dentist, and opticians. Some residents are able to go out independently and the staff supports others. One resident told the inspector “I enjoy going to the shops every day on my scooter”. One resident goes shopping using a black cab and another resident goes to a local restaurant independently for meals. One of the residents is Jewish and she has links with the local Jewish community and goes out regularly with people that visit her. Recently most of the residents attended a Halloween party at a local day centre and they had a ‘healing day’ where the residents could participate in reflexology, reiki and Indian head massage. The staff are arranging a multi cultural evening, where staff will bring different dishes that represent their different cultures. Residents also have other activities such as, cinema, karaoke, barbeques and a garden fete in the summer. When it is a resident’s birthday, they decide what celebrations they want; recently one resident had a fish and chip supper and a singer, another resident decided on a Chinese meal and a karaoke. Most of the residents had holidays this year; some go to a local facility and others go further a field. The majority of the residents receive visitors; either family or friends and some of the residents visit family at home, staying over for the weekend. Some of the residents will be going to stay with their families over the Christmas period. One resident’s sister has just visited from Australia. Three relatives that were visiting at the time of the inspection all said that they are made to feel welcome and drop in at all different times. The menu is set weekly taking into consideration the residents’ likes and dislikes, as well as dietary and cultural requirements. On the day of the inspection the evening meal corresponded with the meals being served. Most of the residents had turkey escalope, mashed potato, carrots and cabbage, one resident had fish, another resident had a sandwich and another resident is PEG fed. Examining menu records for week beginning 1st August 2006, showed every day that some residents had a different meal. All of the residents that were asked said that they enjoyed the food; they had a choice and enough to eat. Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support in a way they prefer and their physical and emotional needs are met. Due to their level of disability, residents are unable to administer their own medication. There are policies and procedures in place to ensure that this is carried out safely. EVIDENCE: Care plans and daily records were examined and discussed with the manager. The care plans clearly identify health and personal care needs and how these should be met. Residents get the care they need and are supported to be as independent as possible. Some of the residents require a lot of support with their personal care needs, whilst others require encouragement and prompting. One resident said, “They help me to have a bath and get dressed”. Residents were seen to be dressed in clothes that were appropriate for the time of the Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 15 year and which suited their personalities; some of the residents were in jeans and others in jogging bottoms. Some of the residents buy their own clothes with assistance from the staff. Relatives said that they felt that the young people were appropriately dressed and their clothes were clean. Health care needs are being recorded with information that is easily retrievable. Residents have been seen by the optician, dentist, chiropodist and other health professionals when required. None of the residents are able to self medicate; therefore all medication they require is administered by staff. There are policies and procedures for the handling and recording of medication within the home and staff have received medication training as part of their induction programme and ongoing training. Medication Administration Records (MAR) charts and the medication cupboard were checked and found to be correct and all medication was stored appropriately. Two of the residents’ medication was audited and the amount given and the amount remaining reconciled with the MAR charts. Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ views are listened to and acted upon. Not all staff have undertaken adult protection/abuse awareness training, which could compromise the safety of the residents. EVIDENCE: The home has a clear complaints procedure and this is displayed around the home. There has been one complaint since the last inspection; this matter was dealt with appropriately and to the satisfaction of the complainant. Some residents were asked individually what they would do if they were anything at the home, responses included “I would tell Paul (manager)”, “I would tell my mum and dad”. All of the residents told the inspector that they were happy living at the home and didn’t want to live anywhere else. Relatives that were spoken to said they were very happy with the care the residents were receiving and all said they would be happy to talk to Paul if they had any concerns. The home has a comprehensive Adult Abuse and Protection policy and procedures, one of these procedures is to inform the Commission of any untoward incidents under regulation 37 of the care Homes regulations 2001, the manager is diligent in reporting to the Commission e.g. serious accidents or hospital admissions. Staff members that were spoken to were very clear on what constituted abuse and their responsibilities to report any potential abuse. Staff files indicated that not all staff have received adult protection/abuse awareness training. This is Requirement 4. Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 17 Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and comfortable home that has specialist equipment that is suitable to their needs. EVIDENCE: The home comprises of two purpose built bungalows with a shared garden, which provides a high standard of accommodation for people with physical disabilities. A tour of the home was undertaken including residents’ bedrooms. The home is decorated and furnished in a homely fashion and all parts of the home were clean, tidy and free from any odour. All of the bedrooms are single and with en-suite bathrooms, which include tracking from bed to bath, avoiding the need for separate lifting equipment. All of the bedrooms were personalised with posters, CDs, videos, DVDs, family photographs, television, music centres and computers. In addition to the en-suite bathrooms there are four toilets, a bathroom and two showers. Both bungalows have a large open plan a kitchen/ dining room/lounge, which are appropriately furnished. At the Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 19 last inspection, it was found that the oven was not working properly this has been replaced. This was a previous requirement that is now met. Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Competent staff that are qualified support resident. Staffing levels are satisfactory and there are sufficient staff on duty that have the appropriate skills to meet the needs of the residents. However, staff must update their moving and handling training to ensure that residents are moved safely. The procedures for the recruitment of staff are robust and provide safeguards for the residents living in the home. There needs to be appropriate systems in place to ensure that residents are supported by staff who are appropriately supervised and receive an annual appraisal of their work practices. EVIDENCE: This was as unannounced inspection; duty rotas were inspected and they correlated with the staff on duty, and there were sufficient staff on duty to meet then needs of the residents. There was senior carer and four care staff on Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 21 shift, as well as the manager. A requirement from the last inspection identified that there was not always enough staff on duty. The manager has recruited extra care staff to cover busy times, such as, early in the morning, early evenings and weekends. Therefore this Requirement is now met. The organisation has a clear recruitment policy and procedures. Staff files that were inspected showed that appropriate recruitment procedures are being followed; all of the files had completed an application form, an up to date Criminal Records Bureau (CRB) and two written references, proof of identification and photographs. More than 50 of the care staff have their NVQ 2 and some are studying for their NVQ 3. Two of the senior staff already have their NVQ 3 and two are able to assess staff for NVQ. Staff have undergone training in areas such as, first aid, medication awareness, continence management, health & safety, fire evacuation, induction programme and work flow training. Some of the staff require their moving & handling and food hygiene training to be update. The manager must ensure that mandatory training is regularly updated. This is Requirement 5. Staff files indicated that they are receiving supervision, however this is infrequent and needs to be on a more regular basis; at least six times a year. Not all staff have had an annual appraisal; this is to review their work performance and to identify future training needs. Two staff meetings have taken place this year. The manager must ensure that staff receive regular supervision and an annual appraisal. This is Requirement 6. Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39, 41 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from the way the home is managed. The record keeping and the policies and procedures of the home safeguard their rights and best interests. This means that residents’ health safety and welfare are being protected. EVIDENCE: The home is run for the benefit of the residents. This is clear from the way residents are encouraged to show their choice in décor, activities and meals within the home and in the community. The quality of the service is monitored by SCOPE. The service manager carries out monthly monitoring visits to assess how effectively the home is operating to meet its stated aims and objectives, Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 23 and reports indicate the action to be taken when deficiencies are identified. Copies of these reports are sent to the Commission. There was written evidence that hot water, refrigerator and freezer temperatures are regularly taken. All necessary health and safety checks, such as, portable electrical appliances, fire alarms, call system, hoists, gas and electrical safety checks have been carried out and all records were up to date. This was a previous Requirement that has now been met. Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X 3 3 X Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 25 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15 Requirement Care plans must be extended to cover all aspects of personal, social and health needs as set out in Standard 2 of the National Minimum Standards for Adults (18-65). Previous timescale of 30/06/06 not met. Daily records need to be linked to the care plan and to be more specific. Previous timescale of 30/06/06 not met. All care plans must be kept under regular review, this will ensure that residents’ needs continue to be met. All staff must undertake training in adult protection/abuse awareness training to ensure the safety of the residents. All mandatory training such as, moving and handling must be regularly updated to ensure the safety of themselves and the residents. The manager must ensure that all care staff must receive a DS0000025937.V318770.R01.S.doc Timescale for action 31/03/07 2. YA6 15, 17 31/03/07 3. YA6 15 31/03/07 4. YA23 18 31/03/07 5. YA35 18 31/03/07 6. YA36 18 31/03/07 Woodford Court Version 5.2 Page 26 minimum of six supervision meetings a year and a yearly appraisal RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodford Court DS0000025937.V318770.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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